BOARD OF TRUSTEES MEETING Education Conference Room Phillips County Hospital Thursday, May 24, 2018, 6:00 pm. Krystal Schwenn, Chief Financial Officer

Transcription

1 BOARD OF TRUSTEES MEETING Education Conference Room Phillips County Hospital Thursday, May 24, 2018, 6:00 pm Board Members Present: Stanley Kats Vicki Constable Christiane Criquet Cole Hazel Ames Kelly Roe Jayne Holle Jessie Wyrill Ruth Hackerott Stan Robb Staff Present: Rex Walk, CEO Les Lacy, VP Regional Operations of GPHA Codi Cox, Patient Account Manager Jennifer Dodds, Patient Engagement Director Mildred Hadley, Radiology Manager Rebecca Flora, Materials Manager Theresa Hughes, Board Recorder Krystal Schwenn, Chief Financial Officer Tara Overmiller, Marketing Director Rhonda Kellerman, Clinic Administrator Bailey Black, Lab Technician Jessica Hawkins, Infection Control Kathleen Wilson, Chef Community Present: Board Attorney Frankie Forbes, John A. Beim, Durrel Kelley, Chief Operations Officer GPHA. Chairman Stanley Kats called the Board of Trustees meeting to order at 6:02 pm in the Education/Conference room at the Phillips County Hospital. Review of Agenda: Chairman Kats asked for any additions to the agenda. Additions requested included: 1) Conflict of Interest Resolution under New Business. 2) Tax Resolution under New Business. Jayne Holle motioned to approve the agenda with the additions; Ruth Hackerott seconded. Motion carried 8-0. Consent Agenda: Chairman Kats asked for approval of the Consent Agenda. Kelly Roe noted items listed under the Consent Agenda were missing; The Quality Committee meeting minutes and in the CEO Report the operational audit for Senior Life Solutions, PFAC meeting agenda and PCHS logo. Rex Walk removed the CEO Report and Quality Committee meeting minutes and will send out the missing items following the meeting. Vicki Constable moved to accept the consent agenda with the changes; Jayne Holle seconded. Motion carried 8-0. Public Comments: None.

2 Guest Introduction and Presentation: Rex Walk introduced Rebecca Flora, newly hired Materials Manager. Rebecca joins PCHS from Hays Medical Center and has nine years of materials management experience. REPORTS: 1. Financial Report: Pending due to year end close and will be provided as soon as they are available. 2. Year-end Closing Activites: Krystal Schwenn gave a quick update on the timeline for FYE 2018 closing. GPHA will be starting their audit June 11 th, and BKD will start their audit on July 9 th. BKD will present their results to the Board after completion. The Cost Report will be completed and filed no later than August 31 st. COMMITTEE REPORTS: 1. Credentialing Committee: The credentialing committee met and reviewed the applications of the following providers: Appointment with privileges as requested: Subrahmanyeswara Samavedi, M.D. Consultant, Urology Marcus Kilpatrick, M.D. Consultant, Radiology Reappointment with privileges as previously requested: Belinda Childs, APRN/CNS Freestate Telehealth, Diabetic Ed Robert Sourk, M.D. Consultant, Sleep Study Sean Denney, M.D. Consultant, Cardiology Kearney Vicki Constable moved that the privileges be approved for all as requested; seconded by Ruth Hackerott. Motion carried Human Resource Committee: The Human Resource Committee did not meet. No report this evening. 3. Building, Equipment & Grounds: Jessie Wyrill presented an update on several projects the committee is currently working on.

3 NEW BUSINESS: Rex Walk asked that Baily Black present her report on the policy audit prior to reviewing Old Business. 1. Annual PCHS Policy Review Audit: Baily Black reviewed the results of the policy audit completed with each department head and Shirley Weisz. Emergency Preparedness was the noted area needing some adjustments; Deb Hadley has already been working to revise the plan. A few other departments needed minor corrections or additions and are being addressed. Baily acknowledged Shirley s great job in working through the policies. Jayne Holle noted that the positive audit results were due to Baily and her team. Baily Black left the meeting at 6:50 pm OLD BUSINESS: 1. Philips Lifeline Options: Jennifer Dodds reviewed with the Board the options available to PCHS for continued service with Philips Lifeline. 1) PCHS installs, services and bills subscribers. 2) Move to a lease to own program or 3) Turn over current subscribers to Philips to include all operations. Jennifer recommended moving to the lease to own program and bringing back the installation fee noting that if an individual cannot afford it the availability of monies from the We Care Fund can help cover the cost. Ruth Hackerott motioned to approve the move to the lease to own program with an install fee: Jayne Holle seconded. Motion carried Patient and Family Advisory Committee (PFAC): Jennifer Dodds presented the Board with the results from the Community Survey. The committee received 54 surveys back and after compiling the data have established the areas perceived as needing improvement, many of which are already being addressed. Jennifer anticipates a follow-up survey will be done in 9 to 12 months to gauge progress. Jennifer Dodds left the meeting at 7:15 pm 3. In-House Mammography Services Update: Mildred Hadley updated the Board on the mammography unit purchased by the hospital. Funding was provided by the Hansen Foundation for $100,000 with an additional $5000 from the Armstrong Foundation. The expected delivery date is June 20th, and Mildred hopes to be up and running mid-july. Mildred discussed the renovations being done in the room that will house the unit and the Dexa machine currently there will need to be removed. Mildred has tried to find someone to take it including vendors and GE with no luck. As it has no value and has fully depreciated, she asked for the Board s approval to get rid of it. Hazel Ames motioned to approve disposing of the Dexa machine; Ruth Hackerott seconded. Carried 8-0

4 Tara Overmiller presented the Board with the results on the cost report impact to PCHS with the addition of the mammography unit. The first year will be operating at a loss but the next two to five years should see that corrected. Tara continues to search for additional funding for the project to include the minor room renovations. 4. Centralized Billing Office (CBO) Options: Codi Cox discussed the extensive methodologies used in researching the options available to PCHS for a CBO (Centralized Billing Office). After careful consideration by Cody and CFO Krystal Schwenn, the recommendation is to move to Cerner directly at a 1.99% cost and three year term. With this option PCHS would also continue to utilize Angie Martin at GPHA for billing expertise if needed at a rate of $150 per hour; estimated at 20 hours per month. Ruth Hackerott moved to approve the recommendation with final ratification at the next Board meeting after further negotiations by Frankie Forbes and Rex Walk; seconded by Kelly Roe. Motion carried 8-0. Kathleen Wilson joined the meeting at 7:30 pm. Codi Cox left the meeting at 7:48 pm NEW BUSINESS: 1. Annual PCHS Policy Review Audit: Presented earlier in the meeting. 2. Prime Distributor Decision - Medline: Rex Walk discussed the benefits of switching from PCHS current distributor, Shared Services, to Medline. Shared Services has been a valued partner, however as PCHS evolves Medline is better equipped to meet growing needs. Not only will Medline save PCHS seven to twelve percent on supplies purchased but they offer additional benefits and resources such as Medline University, an on-line continuing education module, that are unavailable with the current distributor. Rex Walk asked that the Board allow the change of vendor. Jayne Holle motioned to approve the move to Medline; seconded by Jessie Wyrill. Motion carried 8-0. Kathleen Wilson left the meeting at 7:50 pm. Kathleen Wilson returned to the meeting at 8:12 pm Hazel Ames stepped out of the room at 8:32 pm 3. Conflict of Interest Policy: Frankie Forbes discussed the policy initiated by Hazel Ames agreeing to take on the role of Risk Management. After Hazel stepped out, Rex discussed the reason for asking Hazel to take on Risk Management and the compensation she will receive as an independent contractor. Vicki Constable moved to approve Hazel as an independent

5 contractor at $25 an hour with no cap on the number of hours she can work; Jessie Wyrill seconded. Motion carried 8-0. Hazel Ames returned to the meeting at 8:35 4. Tax Resolution: Stan Kats discussed the need to have the motion to approve the resolution to approve the mill levy of Frankie Forbes noted that the current rate is the maximum that can be requested without the need for a mandatory election by taxpayers and that, as an elected Board, it does not go to the County Commissioners but straight to the public. PCHS is required to publish the mill levy resolution in the newspaper. Ruth Hackerott motioned to approve the mill levy; seconded by Jane Holle. Motion carried 7-1. Kelly Roe voted no as she felt there was a lack of notice given to the community. It was suggested that the discussion surrounding the mill levy be scheduled for the March meetings in the future to allow for more transparency and encourage the public to participate. Next PCHS Board of Trustees Meeting: Thursday, June 28, 2018, 6:00 pm in the Education Conference Room at Phillips County Hospital. BOARD EDUCATION: 1. Antibiotic Stewardship Program: Jessica Hawkins presented the Board the new Antibiotic Stewardship Program. In working with Becky Levin, Nancy Molzahn and Dr. Lee, Jessica has developed a program that can both optimize the treatment of infections and reduce adverse events associated with antibiotic use. Jessica s program provides tools to help in discussions with patients and families about when antibiotics are and are not needed, and discuss possible harms such as allergic reactions and antibiotic-resistant infections. The program has been put together in a form that will allow for changes and additions as the need arises. 2. KHA Regional Trustee Meetings: Tara Overmiller provided the dates and locations for KHA s upcoming regional trustee meetings that will take an in-depth look at governance, leadership and trustee resources. EXECUTIVE SESSION: At 8:40 p.m., Hazel Ames moved that the Board enter executive session for a period of thirty minutes for privileged attorney-client consultation with the Board's attorney pursuant to K.S.A (b)(2); that Board members, Rex Walk, Krystal Schwenn, and Frankie Forbes attend to participate in the discussion; and that open meeting resume in the

6 conference room at 9:10pm. Seconded by Jayne Holle. Motion carried 7-1 with Kelly Roe opposing. Durrell Kelley, Les Lacey, Tara Overmiller, Rhonda Kellerman, John Beim, Kathleen Wilson and Theresa Hughes left the meeting. Open session resumed at 9:10p.m. No action taken Jayne Holle moved that the Board re-enter executive session for the same reason and with the same people attending for a period of thirty minutes and that open meeting resume in the conference room at 9:41 pm. Seconded by Vickie Constable. Motion carried. Open session resumed at 9:41 p.m. Durrell Kelly and Les Lacy entered the meeting. President Stan Kats lead a discussion on the GPHA invoice and the need to get it paid. Kelly Roe and Frankie Forbes mentioned a discrepancy in the invoice and contract figures. Discussion centered on having the Board attorney develop a spreadsheet for GPHA on the questioned charges and then scheduling a special meeting with Durrell Kelly and the executive committee representing the Board. A tentative time of 5.pm. Thursday, June 14th was suggested. Criquet Cole suggested that Kelly Roe replace her as treasurer in the executive committee as she was more familiar with the invoice/contract issues. Further discussion followed. No action taken. ADJOURNMENT: Jayne Holle moved that the meeting adjourn; seconded by Vickie Constable. Meeting adjourned at 9:57 p.m. Secretary Recorder